<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">配送平台订单号</label>
            <div class="layui-input-block">
                <input type="text" name="third_number" class="layui-input"  placeholder="请输入配送平台订单号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">骑手系统订单号</label>
            <div class="layui-input-block">
                <input type="text" name="sys_number" class="layui-input"  placeholder="请输入骑手系统订单号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">调用方订单号</label>
            <div class="layui-input-block">
                <input type="text" name="call_number" class="layui-input"  placeholder="请输入调用方订单号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">第三方平台类型</label>
            <div class="layui-input-block">
                <select name="app_type" lay-verify="required">
                    <option value=''></option>
                    {foreach $notes['app_type'] as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">appid</label>
            <div class="layui-input-block">
                <input type="text" name="appid" class="layui-input" lay-verify="required" placeholder="请输入appid" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">预约类型</label>
            <div class="layui-input-block">
                <select name="appoint_type" >
                    <option value=''></option>
                    {foreach $notes['appoint_type'] as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">预约取件时间</label>
            <div class="layui-input-block">
                <input type="text" name="appointment_date" class="layui-input"  placeholder="请输入预约取件时间" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">期望收件时间，单位：秒</label>
            <div class="layui-input-block">
                <input type="text" name="expect_receive_time" class="layui-input"  placeholder="请输入期望收件时间，单位：秒" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">配送店铺ID</label>
            <div class="layui-input-block">
                <input type="text" name="store_id" class="layui-input"  placeholder="请输入配送店铺ID" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">坐标类型</label>
            <div class="layui-input-block">
                {foreach $notes['lbs_type'] as $k=>$v}
                <input type="radio" name="lbs_type" value="{$k}" title="{$v}" {in name="k" value="0"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">总距离，单位：米</label>
            <div class="layui-input-block">
                <input type="text" name="total_distance" class="layui-input"  placeholder="请输入总距离，单位：米" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">总重量，单位：kg</label>
            <div class="layui-input-block">
                <input type="text" name="total_weight" class="layui-input"  placeholder="请输入总重量，单位：kg" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单总金额，单位：分</label>
            <div class="layui-input-block">
                <input type="text" name="total_amount" class="layui-input"  placeholder="请输入订单总金额，单位：分" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">优惠的总额度，单位：分</label>
            <div class="layui-input-block">
                <input type="text" name="coupon_save_fee" class="layui-input"  placeholder="请输入优惠的总额度，单位：分" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单加价金额，单位：分</label>
            <div class="layui-input-block">
                <input type="text" name="addition_amount" class="layui-input"  placeholder="请输入订单加价金额，单位：分" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">实际支付的费用，单位：分</label>
            <div class="layui-input-block">
                <input type="text" name="total_fee_after_save" class="layui-input"  placeholder="请输入实际支付的费用，单位：分" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单状态</label>
            <div class="layui-input-block">
                <select name="status" >
                    <option value=''></option>
                    {foreach $notes['status'] as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">取消发起人类型</label>
            <div class="layui-input-block">
                <select name="abort_type" >
                    <option value=''></option>
                    {foreach $notes['abort_type'] as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">取消责任人类型</label>
            <div class="layui-input-block">
                <select name="punish_type" >
                    <option value=''></option>
                    {foreach $notes['punish_type'] as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">取消订单相关信息</label>
            <div class="layui-input-block">
                {:editor_textarea("","abort_info","取消订单相关信息")}

            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">取消原因</label>
            <div class="layui-input-block">
                <input type="text" name="abort_reason" class="layui-input"  placeholder="请输入取消原因" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">送回费，单位：分</label>
            <div class="layui-input-block">
                <input type="text" name="send_back_fee" class="layui-input"  placeholder="请输入送回费，单位：分" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">退款金额，单位：分</label>
            <div class="layui-input-block">
                <input type="text" name="drawback" class="layui-input"  placeholder="请输入退款金额，单位：分" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">更新时间</label>
            <div class="layui-input-block">
                <input type="text" name="update_time" data-date="" data-date-type="datetime" class="layui-input"  placeholder="请输入更新时间" value="0">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>
    </form>
</div>